Ultrasound Guided Hematoma Block in Distal Radius Fractures
Trial Parameters
Brief Summary
This study will investigate the effectiveness of analgesia of ultrasound hematoma block compared to 'blind' hematoma block in patients with dislocated distal radius fracture.
Eligibility Criteria
Inclusion Criteria: * Age ≥ 16 years * Confirmed fracture of the distal radius requiring closed reduction, defined as any off the following items(7): * \>10 degrees of dorsal angulation; * \>20 degrees of volar angulation; * \>2 mm step-off intra-articular; * \>3 mm radial shortening; * \>15 degrees radial inclination; * Translation and non-intact radio-carpal alignment in the lateral view * Significant translation in the posterior-anterior(PA)-view. Exclusion Criteria: * No informed consent can be given (cognitive impairment, severe dementia, no knowledge of Dutch language e.a.) * Neurovascular compromise or open fractures requiring (immediate) surgery or reduction. * First reduction already performed * Multi-trauma patients requiring other urgent procedures/tests or with respiratory or hemodynamical compromise * Pre-existent osteosynthesis material in situ in the affected arm * Skin injury (with exception of minor abrasions), local infection or recent burns hindering or contra-indica